person
Mrs. Christine Marie Maddox, FNP
Family Nurse Practitioner in Michigan City, Indiana
NPI 1063483642

Christine Marie Maddox is a Family Nurse Practitioner based in Detroit, IN and is specialized in Family. Christine Marie Maddox practices in Michigan City, IN and has the professional credentials of FNP. The NPI Number for Christine Marie Maddox is 1063483642 and holds a License No. 71001740A (Indiana).

The current practice location address for Christine Marie Maddox is 8865 W 400 N Ste 120, Michigan City, IN and can be reached out via phone at 219-878-5031 and via fax at 219-879-5498. You can also correspond with Christine Marie Maddox through the mailing address at PO BOX 781076, DETROIT, MI - 48278-1076 (mailing address contact number: 317-528-4800).

Location: 8865 W 400 N Ste 120, Michigan City, IN, 48278-1076
person
Provider Profile Details
NPI Number
1063483642
Provider Name
Christine Marie Maddox
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
8865 W 400 N Ste 120, Michigan City, IN, 48278-1076
Phone Number
219-878-5031
Fax Number
219-879-5498
Provider Enumeration Date
01/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M400035552 01 IN MEDICARE PTAN
201007040 05 IN
000001078424 01 IN ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
8865 W 400 N Ste 120
City
State
Zip
46360-9011
Phone Number
219-878-5031
Fax Number
219-879-5498
person
Provider Business Mailing Address Details
Address
8865 W 400 N Ste 120
City
State
Zip
46360-9011
Phone Number
219-878-5031
Fax Number
219-879-5498
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71001740A (Indiana)
Definition
Definition to come...
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